Organization Active NPI

Premier Weight Loss of Indiana LLC

Doing business as Premier Weight Loss

  • Obesity Medicine (Preventive Medicine) Physician
  • Indianapolis, IN
National Provider Identifier
1538907522
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
PREMIER WEIGHT LOSS OF INDIANA LLC
Doing business as
Premier Weight Loss
Practice address
10475 Crosspoint Blvd Ste 315
Indianapolis, IN 46256-3387
Phone
(317) 567-9100
Fax
(317) 659-9732
NPI assigned
Jul 16, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Hilbert
Title
Ceo
Phone
(317) 260-7955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X NU Primary

Addresses

Primary practice location

10475 Crosspoint Blvd Ste 315
Indianapolis, IN 46256-3387

Mailing address

8902 N Meridian St Ste 100
Indianapolis, IN 46260-5306
Phone (317) 260-7955

Other names 1

  • Premier Weight Loss Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Weight Loss2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10475 Crosspoint Blvd
Ste 315
Indianapolis, IN 46256
Phone (317) 567-9100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1538907522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605306",
            "telephone_number": "317-260-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 CROSSPOINT BLVD STE 315",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563387",
            "telephone_number": "317-567-9100",
            "fax_number": "317-659-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WEIGHT LOSS OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "HILBERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-260-7955"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.